Individual
DAVID L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 238-3289
(386) 238-3296
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0035686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02040
BCBS
FL
01
—
1265420103
TRICARE
FL
05
—
266471200
—
FL
01
—
ME0035686
DCWO
FL
01
—
P00871462
RAILROAD
FL
Enumeration date
10/13/2005
Last updated
07/18/2013
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